Active NPI
Lashundra Patrice Moore, DC
- Chiropractor
- Columbus, MS
National Provider Identifier
1740871318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1323
- Practice address
- 221 5TH St S
Columbus, MS 39701-5729 - Phone
- (662) 370-0026
- Fax
- (662) 370-0025
- NPI assigned
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1323 | MS | Primary |
Addresses
Primary practice location
221 5TH St S
Columbus, MS 39701-5729
Mailing address
221 5TH St S
Columbus, MS 39701-5729
Phone (662) 370-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210506000032 | MS | Practitioner - Chiropractic | 2860801792 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1323 | MS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1740871318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 5TH ST S",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397015729",
"telephone_number": "662-370-0026",
"fax_number": "662-370-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 5TH ST S",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397015729",
"telephone_number": "662-370-0026",
"fax_number": "662-370-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LASHUNDRA",
"middle_name": "PATRICE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.